Old Greenwhich Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

OLD GREENWHICH DENTAL CENTER LLC

Practice address

182 Sound Beach Ave
Old Greenwich, CT 06870-1738

Phone

(917) 915-4504

NPI assigned

Nov 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Janash, DMD

Title

President and Ceo

Phone

(917) 915-4504

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1730657495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 41ST ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367207",
            "telephone_number": "917-915-4504",
            "fax_number": "866-897-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SOUND BEACH AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701738",
            "telephone_number": "917-915-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD GREENWHICH DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JANASH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "917-915-4504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Gail Nelson, OTR/L
• Jutta Nemec
• Stephanie Netter, PT
• Pamela Nweke
• Beth A O'Malley, MSW, LCSW, ACSW
• Old Greenwich Medical Group LLC
• Craig Olin, MD
• Nicholas Joseph Orrico
• Jessica Ortiz, MS
• Shivani Panchal, DPM

• Dentist in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.